Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.23 / $57.23 / $57.23	Facility	26	$57.23	$57.23	$57.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $182.46 / $268.10	Professional		$157.34	$182.46	$268.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.13 / $125.13 / $125.13	Facility	26	$125.13	$125.13	$125.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.61 / $575.04 / $718.82	Professional		$445.61	$575.04	$718.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $207.46 / $518.64	Professional		$168.35	$207.46	$518.64
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $211.65 / $211.65 / $211.65	Facility	26	$211.65	$211.65	$211.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $468.13 / $712.19	Professional		$363.68	$468.13	$712.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $442.12 / $520.11	Professional		$242.52	$442.12	$520.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $75.52 / $101.56 / $115.80	Professional	26	$75.52	$101.56	$115.80
United Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $168.35 / $466.78	Professional		$162.77	$168.35	$466.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $593.40 / $593.40	Professional		$456.20	$593.40	$593.40